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Joseph Mazzola, DDS
Student in an Organized Health Care Education/Training Program in Port Jefferson, New York
NPI 1447642848

Joseph Mazzola is a Student in an Organized Health Care Education/Training Program based in Port Jefferson, NY. Joseph Mazzola practices in Port Jefferson, NY and has the professional credentials of DDS. The NPI Number for Joseph Mazzola is 1447642848 and holds a License No. (New York).

The current practice location address for Joseph Mazzola is 27 Theresa Ln, Port Jefferson, NY and can be reached out via phone at 631-252-2887.

Location: 27 Theresa Ln, Port Jefferson, NY, 11777-2097
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447642848
Provider Name
Joseph Mazzola
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
27 Theresa Ln, Port Jefferson, NY, 11777-2097
Phone Number
631-252-2887
Fax Number
Provider Enumeration Date
02/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
27 Theresa Ln
City
Port Jefferson
State
New York
Zip
11777-2097
Phone Number
631-252-2887
Fax Number
person
Provider Business Mailing Address Details
Address
27 Theresa Ln
City
Port Jefferson
State
New York
Zip
11777-2097
Phone Number
631-252-2887
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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